• Health Insurance

    • Health Insurance Reform

      While the ACA exchanges have brought about new insurance coverage opportunities for Texans, significant problems remain — and potential new ones are developing — with traditional health insurance companies and Texas’ workers’ compensation program.
  • Key Issues

  • Texas Advocacy and Communications

    • ACA Exchange Plans: Q&A for Texas Physicians - Updated December 2014
      Confused by all you've heard about the Affordable Care Act marketplace insurance plans? Do you know whether you're in — or out — of the narrow networks? How will you tell if a patient is on an exchange plan? What happens to you if patients don't make their premium payments? What, if anything, can you do about all of this? TMA answers these and other tough marketplace exchange questions.  MembersOnlyRed
    • Physicians Prepare for Round Two of the ACA Marketplace
      Round two of the Affordable Care Act (ACA) health insurance marketplace launched with far less fanfare than last year's botched rollout. But even as physician practices do their part to adjust and help care for these newly insured, some of the same uncertainties linger. And with potentially new twists ahead, TMA officials once again remind physicians to be mindful in their business practices surrounding exchange plans.
    • TMA Healthy Vision 2020: Establish Fair and Transparent Insurance Markets
      Read TMA’s legislative strategy and recommendation for 2015 and beyond.
    • TMA Develops Tooklit to Help You Challenge Unfair Rankings
      Physician ranking (also known as physician tiering) has traditionally been a profiling methodology used by private insurance companies to steer patients toward lower-cost physicians.
    • 83rd (2013) Legislative Victories
      It took more than six years, but TMA and our state legislators never gave up. Now a new law regulating silent PPOs penalizes unethical third parties who steal and resell physicians’ discounted rates, for commercial and Medicaid contracts. Lawmakers also passed a prompt-pay law for Medicaid HMOs; no more low-pay, slow-pay, no-pay.
    • 2013 Legislative Testimonies and Letters
      TMA worked hard guiding health care policy through the Texas Legislature. House and Senate committee chairs held legislative hearings on dramatic budget cuts, physician employment, expansion of scope, and a myriad of public health issues. At each hearing, TMA had a physician leader present to ensure legislators understood our position and acted in the best interest of patients. We also presented a variety of letters to state lawmakers.